Individual provider Active NPI

Brenda Lovette, PSY. D.

  • Psychologist
  • Kailua, HI
National Provider Identifier
1487685251
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY708 Issued in HI
Practice address
1467 Kiukee PL
Kailua, HI 96734-4271
Phone
(808) 223-7171
NPI assigned
Jul 6, 2006
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY708 HI Primary

Addresses

Primary practice location

1467 Kiukee PL
Kailua, HI 96734-4271

Mailing address

1467 Kiukee PL
Kailua, HI 96734-4271
Phone (808) 222-1414

Other identifiers 2

IdentifierTypeStateIssuer
00A0227676OtherHIHAWAII MEDICAL SVC ASSN
49720702MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000023 HI Practitioner - Clinical Psychologist 1456336841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1467 Kiukee PL
Kailua, HI 96734-4271
Phone (808) 223-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY708HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lokahi Consulting Group, Inc Psychologist CurrentSince Dec 16, 2003 Accepting new patients
MCMD Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1487685251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 KIUKEE PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344271",
            "telephone_number": "808-222-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 KIUKEE PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344271",
            "telephone_number": "808-223-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVETTE",
        "first_name": "BRENDA",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SVC ASSN",
            "identifier": "00A0227676",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49720702",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.